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Prior authorization is a necessary process for obtaining approval from health insurers for medical treatments, but it can lead to delays that affect patient care. A 2025 survey indicated that many physicians are concerned that the introduction of AI in this process may worsen denial rates for necessary treatments, despite its potential to expedite approvals for clear cases.
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Prior authorization is a necessary process for obtaining approval from health insurers for medical treatments, but it can lead to delays that affect patient care. A 2025 survey indicated that many physicians are concerned that the introduction of AI in this process may worsen denial rates for necessary treatments, despite its potential to expedite approvals for clear cases.
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Will AI fix prior authorization—or make it worse?
The Role of AI in Prior Authorization Processes